Frailty is associated with poor outcomes in midlife trauma patients

Colette Galet; Colleen Bloeser; Jacklyn Engelbart; Patrick Ten Eyck; James Torner; Dionne Skeete

doi:10.1016/j.amjsurg.2024.116157

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Frailty is associated with poor outcomes in midlife trauma patients

Journal article

Peer reviewed

Frailty is associated with poor outcomes in midlife trauma patients

Colette Galet, Colleen Bloeser, Jacklyn Engelbart, Patrick Ten Eyck, James Torner and Dionne Skeete

The American journal of surgery, Vol.241, 116157

03/2025

DOI: 10.1016/j.amjsurg.2024.116157

PMCID: PMC11821431

PMID: 39729966

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https://pmc.ncbi.nlm.nih.gov/articles/PMC11821431/View

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Abstract

The impact of frailty on outcomes in midlife trauma patients (50-64 y) remains understudied. We evaluated the impact of frailty on midlife trauma patients’ outcomes. This is a retrospective cohort study using TQIP 2021 data. Demographics, injury and hospital information, comorbidities, complications, mortality, and discharge disposition were extracted. Frailty was scored using the modified frailty index-5. Multivariate analyses were performed. P < 0.001 was considered significant. In 2021, 5.1% midlife trauma patients were frail. On multivariate analysis adjusting for demographics, insurance status, injury severity score, vitals on arrival, and mode of transportation, frailty was associated with increased risk of death (OR=2.27 [2.01-2.57]), longer hospital and ICU stay (MR=1.46 [1.43-1.49] and MR=1.30[1.24-1.36]), and discharge requiring higher level of care (OR=2.11 [2.01-2.22]). Our data support the need for preventative efforts regarding frailty in midlife adults. •Retrospective cohort study using TQIP 2021 data.•Evaluate the impact of frailty on outcome of midlife trauma patients (50 to 64 y).•Frailty is associated with increased risk of death, longer hospital and ICU stay.•Frailty is associated with discharge requiring higher level of care.•Preventative efforts regarding frailty in midlife adults are needed.

Trauma

Frailty

midlife adults

TQIP

Details

Title: Subtitle: Frailty is associated with poor outcomes in midlife trauma patients
Creators: Colette Galet - University of Iowa
Colleen Bloeser - Carver College of Medicine
Jacklyn Engelbart - Division of Acute Care Surgery, Department of Surgery
Patrick Ten Eyck - Biostatistics, Epidemiology, and Research Design, Institute for Clinical and Translational Science
James Torner - University of Iowa
Dionne Skeete - Division of Acute Care Surgery, Department of Surgery
Resource Type: Journal article
Publication Details: The American journal of surgery, Vol.241, 116157
DOI: 10.1016/j.amjsurg.2024.116157
PMID: 39729966
PMCID: PMC11821431
NLM abbreviation: Am J Surg
ISSN: 0002-9610
eISSN: 1879-1883
Publisher: Elsevier Inc
Grant note: National Center For Advancing Translational Sciences of the National Institutes of Health: UM1TR004403
Funding Research reported in this publication was supported by the National Center For Advancing Translational Sciences of the National Institutes of Health under Award Number UM1TR004403. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Language: English
Electronic publication date: 12/20/2024
Date published: 03/2025
Academic Unit: Neurology; Epidemiology; Biostatistics; Surgery; Injury Prevention Research Center; University of Iowa Health Care; Neurosurgery; Design Biostat and Ethics
Record Identifier: 9984759888902771

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